Blaird-Wagner, Donna

Blaird-Wagner, Donna is an individual health care provider with primary practice located at Elm And Carlton St , Buffalo NY 14263-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Blaird-Wagner, Donna can be contacted via phone (716) 845-2300.

Contact Information

Primary practice address
Elm And Carlton St Buffalo NY 14263-0001
Phone: (716) 845-2300
Fax: (716) 845-7601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F300235 New York

Profile Details

NPI number 1154304459
LBN Legal business name Blaird-Wagner, Donna
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Jan 7th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154304459 NPPES
New York MEDICAID 01926232

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